Page 74 - MEGIN Book Of Abstracts - 2023
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Dementia









            Early visual alterations in individuals at-risk of   ophthalmological measures, as well as in resting-state
            Alzheimer's disease: a multidisciplinary approach   electrophysiological activity. However, it is unknown
            (2023)                                             whether the ophthalmological alterations are related to
                                                               the visual-related electrophysiological activity. Elucidat-
                          López-Cuenca, Inés; Nebreda, Alberto; García-Colomo,   ing this relationship is paramount to understand the
            Alejandra; Salobrar-García, Elena; de Frutos-Lucas,   mechanisms underlying the early deterioration of the
            Jaisalmer; Bruña, Ricardo; Ramírez, Ana I; Ramirez-  system and an important step in assessing the suitabil-
            Toraño, Federico; Salazar, Juan J; Barabash, Ana; Gil,   ity of these measures as early biomarkers of disease.
            Pedro; Maestú, Fernando; Ramírez, José M; de Hoz, Rosa
                                                               METHODS In total, 144 healthy subjects: 105 with
            Health Research Institute of the Hospital Clínico San Carlos   family history of AD and 39 without, underwent
            (IdISSC), 28040, Madrid, Spain; Department of Experimental   ophthalmologic analysis, magnetoencephalography
            Psychology, Cognitive Psychology and Speech & Language   recording, and genotyping. A subdivision was made to
            Therapy, Complutense University of Madrid, 28223, Pozuelo   compare groups with less demographic and more risk
            de Alarcón, Spain; Department of Experimental Psychol-  differences: 28 high-risk subjects (relatives/APOE∼4 +)
            ogy, Cognitive Psychology and Speech & Language Therapy,   and 16 low-risk (non-relatives/APOE∼4 -). Differences in
            Complutense University of Madrid, 28223, Pozuelo de Alar-  visual acuity, contrast sensitivity, and macular thickness
            cón, Spain. [email protected]; Department of Immunology,   were evaluated. Correlations between each variable
            Ophthalmology and ENT, Faculty of Optics and Optometry,   and visual-related electrophysiological measures (M100
            University of Madrid, 28040, Madrid, Spain; Department   latency and time-frequency power) were calculated for
            of Psychology, Nebrija University, 28015, Madrid, Spain;   each group.
            Department of Radiology, Complutense University of Madrid,
            28040, Madrid, Spain; Department of Medicine II, School of   RESULTS High-risk groups showed increased visual
            Medicine, Complutense University of Madrid, 28040, Madrid,   acuity. Visual acuity was also related to a lower M100
            Spain; Memory Unit, Geriatrics Service, Hospital Clínico San   latency and a greater power time-frequency cluster in
            Carlos, 28040, Madrid, Spain; Biomedical Research Network-  the high-risk group. Low-risk groups did not show this
            ing Center in Bioengineering, Biomaterials and Nanomedi-  relationship. High-risk groups presented trends towards
            cine, 28029, Madrid, Spain; Department of Immunology,   a greater contrast sensitivity that did not remain sig-
            Ophthalmology and ENT, Faculty of Medicine, Complutense   nificant after correction for multiple comparisons. The
            University of Madrid, 28040, Madrid, Spain; Department of   highest-risk group showed trends towards the thinning
            Immunology, Ophthalmology and ENT, Faculty of Optics   of the inner plexiform and inner nuclear layers that did
            and Optometry, University of Madrid, 28040, Madrid, Spain.   not remain significant after correction. The correlation
            [email protected]                                  between contrast sensitivity and macular thickness,
                                                               and the electrophysiological measures were not signifi-
            BACKGROUND The earliest pathological features of   cant after correction. The difference between the high-
            Alzheimer's disease (AD) appear decades before the   and low- risk groups correlations was no significant.
            clinical symptoms. The pathology affects the brain
            and the eye, leading to retinal structural changes and   CONCLUSIONS To our knowledge, this paper is the first
            functional visual alterations. Healthy individuals at   of its kind, assessing the relationship between ophthal-
            high risk of developing AD present alterations in these   mological and electrophysiological measures in healthy







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